Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $658.54 / $658.54 / $793.28	Facility		$658.54	$658.54	$793.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $437.85 / $603.38 / $909.41	Professional		$437.85	$603.38	$909.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $546.85 / $546.85 / $546.85	Facility		$546.85	$546.85	$546.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.85 / $1,177.50 / $1,471.88	Professional		$546.85	$1,177.50	$1,471.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $104.53 / $176.33 / $200.32	Professional		$104.53	$176.33	$200.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $133.49 / $1,013.94 / $5,046.28	Facility		$133.49	$1,013.94	$5,046.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.40 / $157.38 / $871.30	Professional		$54.40	$157.38	$871.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $135.58 / $135.58 / $320.45	Facility		$135.58	$135.58	$320.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $134.60 / $162.07 / $264.26	Professional		$134.60	$162.07	$264.26
United Facility/Professional Professional Modifier Low / Median / High Price $54.40 / $97.30 / $751.40	Professional		$54.40	$97.30	$751.40